Individual
MATTHEW E. SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18707 HARDY OAK BLVD STE 530, SAN ANTONIO, TX 78258-4791
(210) 495-8280
(210) 481-3116
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6254
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003022259
MO
207RN0300X
Nephrology Physician
Primary
M5487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190568901
—
TX
01
—
P00457063
MEDICARE RAILROAD
TX
Enumeration date
04/19/2006
Last updated
08/19/2021
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